Organization
NOVANT MEDICAL GROUP, INC.
Active
Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Novant Health Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K. GARDNER (VP OF FINANCE)
(704) 384-7834
Entity
Organization
Contact information
Practice address
2337 WINTERHAVEN LN, WINSTON SALEM, NC 27103-6792
(336) 718-7950
(336) 718-7989
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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